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Of note, even before the introduction of the newer classes of medications, multifactorial, target-driven therapies addressing glycaemic, blood pressure and lipid control that incorporated reninangiotensin system blockade, the use of statins and attention to lifestyle factors significantly reduced the progression to end-stage kidney disease by about 50% in people with type 2 diabetes, hypertension and microalbuminuria

Second, of course, was Health Insurers

By contrast, treatment of high-risk diabetic patients with GLP-1R agonists such as lixisenatide and exenatide, which are based on the structure of nonhuman exendin 4, has not resulted in consistent reductions in MACEs (17, 18)

But as coverage has grown, so have restrictions

Reimbursement opportunities

Develop multi-format educational materials, schedule dedicated education sessions, and use digital tools for tracking and reinforcing information over time